1982, 09-14 Permit: 82A-8215 Mechanical Fixtures PLAN NUMBER APPLICAT )H/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT �/ �z ' -Szt`5
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
i.
E11910. 19TH AVENUE LEGAL DESCRIPTION — SEE ATTACHED i;' , 4
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 1 t 0 0 r,
O
W ER PHONE *. 1a r
3 TONI PALMER, 922-1729
ADDRESS ZIP Actual Set Backs in Feet (. a
P 1 1 91 0 19TH AVENUE 99206 North 'South East (west ", _ 1 _< 2
CONTRACTOR PHONE Size of Parcel Zone Classification
4. CAPP HEATING 922-1539 6 Li 79
ADDRESSZ P Type Const. Occupancy Sprinklered
R
c/O E9514 MONTGOMERY #23 2 kt 9.9.206 Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE // No.Baths No. Stories No. Rooms No. of Dwellings
E NEW ❑ ALT. l 'N. ❑ RPL. ❑ MVE. 0 1
7, OF ❑ OTHER
WORK 0 BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. e'
of EXEMPTION
DESCRIBE WORK Enum. Dist. ILocation (Area) T-
8.
FEES COLLECTED
8. INSTALL SAVE FUEL DAMPER & ENERGY BRAIN
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership I USE CODE
OF
9. UTILITIES X Public ❑Private ❑ 14 . 00
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS / `��' Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT i ". / /L` �!/,/I� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a"
Planning rD
v
Fire Marshall Mobile Home w
J
iL
Co. Engineer Other (Specify)
Utilities
TOTAL $14 ' 00
Plans Examiner
SEPA Checklist WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
B i ing hnicPERMIT IS NONTRANSFERABLE 0:.9,7 ', 8 2 8 2 1, 5 z * 1'4 0 0 2 —
ian (J PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL